NPI | 1811031370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MD D0066609) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 252924) |
Enumeration Date | 2007-02-17 |
Last Update Date | 2015-04-06 |