NPI | 1982067039 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MI 4301506004) |
Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: IA MD-46582) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA MD-46582) | |
Enumeration Date | 2016-04-05 |
Last Update Date | 2022-10-24 |