| NPI | 1558368746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: KS 04-15028) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-15028) |
| 207ZD0900X Pathology, Dermatopathology (Licence: KS 0415028) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2007-07-08 |