| NPI | 1205272507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: WA 70062322) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125064426) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 02007763A) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2025-11-26 |