NPI | 1225411556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 2021-00216) |
Additional Taxonomies | 208600000X Surgery (Licence: SC LL37661) |
Enumeration Date | 2015-07-06 |
Last Update Date | 2021-05-28 |