| NPI | 1316923717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: PA MD043961E) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: PA MD-043961E) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2018-10-12 |