NPI | 1942260450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PR 13216) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PR 13216) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2012-10-22 |