NPI | 1255336939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX L8304) |
Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: TX L8304) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2022-07-21 |