NPI | 1194737908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA G79234) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G79234) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2020-12-11 |