NPI | 1720071459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MD D62986) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 225049) |
Enumeration Date | 2005-08-29 |
Last Update Date | 2013-01-05 |