| NPI | 1225132251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: FL me 83624) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL me 83624) |
| 207ZC0500X Pathology, Cytopathology (Licence: FL me 83624) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2021-05-21 |