| NPI | 1144587098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AZ 68605) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A152557) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2025-12-01 |