NPI | 1295092583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME121731) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: FL ME121731) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2024-01-17 |