NPI | 1255310785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR32152) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CO DR32152) |
207ZH0000X Pathology, Hematology (Licence: CO DR32152) | |
Enumeration Date | 2006-01-12 |
Last Update Date | 2021-05-11 |