| NPI | 1003072000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AL MD.35819) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2012-00340) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2017-04-11 |