NPI | 1780842609 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A83490) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: KS 32967) |
207ZD0900X Pathology, Dermatopathology (Licence: KS 32967) | |
207ZP0101X Pathology, Anatomic Pathology (Licence: KS 32967) | |
207ZC0500X Pathology, Cytopathology (Licence: CA A83490) | |
207ZD0900X Pathology, Dermatopathology (Licence: CA A83490) | |
Enumeration Date | 2008-05-28 |
Last Update Date | 2013-01-03 |