NPI | 1205129509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A124479) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA A124479) |
Enumeration Date | 2011-05-18 |
Last Update Date | 2020-09-25 |