NPI | 1609816412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: WA 00043443) |
Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: WA 00043443) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2007-11-19 |