NPI | 1134624612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: KS 04-50930) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-50930) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2025-09-09 |