NPI | 1417932716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A31930) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA 0500687140) |
Enumeration Date | 2005-12-08 |
Last Update Date | 2011-01-10 |