NPI | 1457369886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CO 42600) |
Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CO 42600) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2019-01-08 |