NPI | 1124091475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD08126R) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: LA MD08126R) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2010-06-07 |