NPI | 1124005814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 22866) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: KY 22866) |
Enumeration Date | 2005-12-23 |
Last Update Date | 2010-07-06 |