NPI | 1366838831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 57980) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01092443A) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY TP529) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 32402) | |
Enumeration Date | 2015-04-12 |
Last Update Date | 2024-02-29 |