NPI | 1932167624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: MO 2023015880) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 050760) |
207ZP0213X Pathology, Pediatric Pathology (Licence: GA 050760) | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2023-05-17 |