NPI | 1427476761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD61355090) |
Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 71201-20) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2023-04-11 |