NPI | 1609169267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AZ 54161) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 54161) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2017-04-13 |