NPI | 1841844149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A163225) |
Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: CA A163225) |
Enumeration Date | 2019-07-25 |
Last Update Date | 2021-04-16 |