| NPI | 1053536060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AR E-4597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E4597) |
| 207ZD0900X Pathology, Dermatopathology (Licence: SC TL31228) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2013-07-31 |