NPI | 1114032612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: MD D0039177) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D0039177) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-07-08 |