NPI | 1235579293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 53563) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: AZ 53563) |
Enumeration Date | 2013-07-04 |
Last Update Date | 2020-08-04 |