NPI | 1184890121 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 03218) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 1893) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N0481) | |
Enumeration Date | 2008-04-30 |
Last Update Date | 2013-02-06 |