NPI | 1477511285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60095416) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 049803) |
207ZC0500X Pathology, Cytopathology (Licence: GA 049803) | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2025-03-28 |