NPI | 1184835464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N9416) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX N9416) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2020-01-16 |