NPI | 1740591445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD172275) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR PG166408) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301096238) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD.206254) | |
Enumeration Date | 2010-06-28 |
Last Update Date | 2022-04-20 |