NPI | 1811143365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00040446) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: WA MD00040446) |
Enumeration Date | 2008-08-15 |
Last Update Date | 2010-11-01 |