NPI | 1710072475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G78972) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA G78972) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2024-03-13 |