NPI | 1447698279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 28922) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NE 28922) |
Enumeration Date | 2013-06-14 |
Last Update Date | 2019-02-27 |