| NPI | 1043547144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 003464) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NY 003464) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2016-01-08 |