NPI | 1932401965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N7820) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX N7820) |
Enumeration Date | 2010-11-24 |
Last Update Date | 2024-09-13 |