NPI | 1720020118 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY TP036) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301082783) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N4570) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2021-04-22 |