NPI | 1427276286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME131220) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL ME131220) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 57012347) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2024-10-19 |