NPI | 1265585905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA C40662) |
Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: CA C40662) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA C40662) | |
208000000X Pediatrics (Licence: CA C40662) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2024-03-13 |