NPI | 1093973943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME121699) |
Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: DC MD040420) |
207ZC0006X Pathology Clinical Pathology (Licence: FL ME121699) | |
Enumeration Date | 2008-05-28 |
Last Update Date | 2023-06-12 |