NPI | 1982623930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OK 23899) |
Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KS 04-30748) |
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NE 22164) | |
207ZH0000X Pathology Hematology (Licence: OK 23899) | |
207ZD0900X Pathology Dermatopathology (Licence: OK 23899) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2007-08-13 |