NPI | 1932145133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G67270) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA G67270) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2022-08-01 |