NPI | 1871727354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 33548) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL TRN13583) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME116774) | |
Enumeration Date | 2009-05-12 |
Last Update Date | 2014-10-08 |