NPI | 1710878632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A204311) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD6162821) |
Enumeration Date | 2025-07-10 |
Last Update Date | 2025-08-18 |