NPI | 1619994522 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 25190) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 234887-1) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS T-01353) | |
Enumeration Date | 2006-07-16 |
Last Update Date | 2007-07-08 |