NPI | 1861820573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 266814) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 255500) |
Enumeration Date | 2013-10-16 |
Last Update Date | 2017-08-15 |