| NPI | 1669471744 |
|---|---|
| Professional Name | W PEARSON CLACK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME15752) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: FL ME15752) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2010-02-04 |