| NPI | 1043299787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: SC 22238) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: SC 22238) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2014-11-19 |