| NPI | 1124386032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA A133336) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A133336) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2019-10-16 |