NPI | 1144352428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 41084) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 079408) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101241191) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2019-11-02 |