NPI | 1427064468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301078349) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35088253) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2023-07-31 |