NPI | 1043215973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX K7381) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: TX K7381) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2012-12-13 |