NPI | 1962585463 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2012-00824) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PA MD073322L) |
207ZC0500X Pathology, Cytopathology (Licence: NC 2012-00824) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD073322L) | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-12-16 |