NPI | 1710277447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 30562) |
Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: RI LP03271) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA MD-45371) | |
Enumeration Date | 2011-04-14 |
Last Update Date | 2021-07-13 |