| NPI | 1144413840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: LA 309784) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036.134559) |
| 207ZH0000X Pathology, Hematology (Licence: LA 309784) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 309784) | |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2018-09-11 |