NPI | 1710960695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME34860) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL ME34860) |
207ZH0000X Pathology, Hematology (Licence: FL ME34860) | |
Enumeration Date | 2005-11-23 |
Last Update Date | 2007-08-02 |