NPI | 1932402377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60265716) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: WA MD60265716) |
Enumeration Date | 2010-12-07 |
Last Update Date | 2023-11-29 |