NPI | 1689747792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NH 15362) |
Additional Taxonomies | 174400000X Specialist (Licence: MT 10853) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2022-04-13 |