NPI | 1346262680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD-009275-E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD009275E) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2018-04-17 |