NPI | 1952801086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WV 28883) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD459894) |
Enumeration Date | 2018-02-15 |
Last Update Date | 2022-04-13 |