NPI | 1508841073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: SC MD 29478) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME73357) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2009-09-25 |