NPI | 1275928350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: CO DR.0072148) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY TP185) |
Enumeration Date | 2015-04-05 |
Last Update Date | 2024-01-17 |