NPI | 1245221001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 002455-1) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 002455-1) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2021-01-21 |