NPI | 1710112453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: ME DO2584) |
Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: PA OT013153) |
Enumeration Date | 2009-05-26 |
Last Update Date | 2016-12-13 |