| NPI | 1144310632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: NY 168963-1) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: AR E-1327) |
| 207ZD0900X Pathology Dermatopathology (Licence: NY 168963) | |
| 207ZD0900X Pathology Dermatopathology (Licence: VT 042.0012190) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AR E-1327) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-04-28 |