| NPI | 1033351044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301093821) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MI 4301093821) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2020-10-08 |