NPI | 1649443128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR T2014-021) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006014654) |
Enumeration Date | 2008-04-07 |
Last Update Date | 2014-03-19 |