NPI | 1114984820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 36288) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 36288) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2013-09-17 |