NPI | 1356385884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD429125) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CT 047315) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2009-01-28 |