NPI | 1407828684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01065084A) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME93737) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2008-06-27 |