NPI | 1245640564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-12357) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX BP10050661) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 292421) | |
Enumeration Date | 2014-05-08 |
Last Update Date | 2019-07-02 |