NPI | 1538171418 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: TX K9728) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX K9728) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2009-02-20 |