NPI | 1982603171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: TX E8936) |
Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: TX E8936) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2012-08-09 |