NPI | 1982703989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 22889) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: WI 22889) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2016-08-30 |