NPI | 1407907207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VT 060-0003385) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: MN 53085) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2011-07-20 |