NPI | 1700839255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AL 25019) |
Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: AL 25019) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2015-03-30 |