NPI | 1104038405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD435020) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NY 241463) |
207ZC0500X Pathology, Cytopathology (Licence: PA MD435020) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 241463) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-04-30 |