NPI | 1285693317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00012776) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: WA MD00012776) |
Enumeration Date | 2006-03-18 |
Last Update Date | 2007-12-18 |