NPI | 1952415887 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301051595) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MI 4301051595) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2016-12-21 |