NPI | 1376598482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00046787) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM 99-299) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 4827321-1205) | |
Enumeration Date | 2006-05-24 |
Last Update Date | 2007-07-08 |