NPI | 1871630350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: GA 83381) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME88066) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 234394) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2024-04-17 |