NPI | 1730225046 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A99364) |
Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CA A99364) |
207ZC0500X Pathology Cytopathology (Licence: PA MT188207) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2019-09-10 |