NPI | 1700142569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: CO DR.0056458) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0056458) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2018-08-20 |