NPI | 1992781785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: PA MD425122) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: WV 20246) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD425122) | |
Enumeration Date | 2005-12-22 |
Last Update Date | 2024-01-03 |