NPI | 1912987504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 55625) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 02007660A) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY C3863) | |
Enumeration Date | 2006-01-19 |
Last Update Date | 2025-08-28 |