NPI | 1396781597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A87920) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A87920) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-10-18 |