NPI | 1508861527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX L5567) |
Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: TX L5567) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2008-01-23 |