NPI | 1770519555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2004029637) |
Additional Taxonomies | 174400000X Specialist (Licence: MO 2004029637) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2024-08-08 |