NPI | 1407119654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WV 24871) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: WV 24871) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2012-09-20 |