NPI | 1225132251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: FL me 83624) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL me 83624) |
207ZC0500X Pathology, Cytopathology (Licence: FL me 83624) | |
Enumeration Date | 2006-09-11 |
Last Update Date | 2021-05-21 |