NPI | 1861496648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101232830) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: AL 18786) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 18786) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 20922) | |
Enumeration Date | 2005-06-09 |
Last Update Date | 2016-05-19 |