NPI | 1609370097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NJ 25MA11389200) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NY 207ZD0900X) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2024-03-01 |