NPI | 1073962684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301500839) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301109785) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX BP10070181) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 5315076110) | |
Enumeration Date | 2016-06-06 |
Last Update Date | 2024-05-20 |