| NPI | 1316263395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: ME MD24014) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 2016-01672) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2023-10-12 |