| NPI | 1285767202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: CT 038366) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: RI 9378) |
| 207ZD0900X Pathology, Dermatopathology (Licence: HI 8430) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: NY 208418) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-24 |