NPI | 1598750234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 160911) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MA 160911) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2009-03-20 |