NPI | 1740575125 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 62189) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 125059986) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2022-07-21 |