NPI | 1184627028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: MA 49024) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 49024) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2007-07-08 |