NPI | 1801155742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 33164) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 33164) |
Enumeration Date | 2012-05-13 |
Last Update Date | 2018-02-06 |