NPI | 1437109964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 8160) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: SC 8160) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2013-10-31 |