NPI | 1346694247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD61621538) |
Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: UT 11741862-1205) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 11741862-1205) | |
Enumeration Date | 2016-04-17 |
Last Update Date | 2025-03-06 |