NPI | 1235455395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX Q5131) |
Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: TX Q5131) |
Enumeration Date | 2010-04-14 |
Last Update Date | 2020-05-05 |