NPI | 1508892514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G77108) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA G77108) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2011-02-11 |