NPI | 1801970900 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 46205) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI MD16417) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD34491) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2018-12-04 |