NPI | 1215251939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 284026) |
Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: NY 284026) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2016-05-11 |