| NPI | 1316989395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX N9212) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A86171) |
| 207ZD0900X Pathology, Dermatopathology (Licence: CA A86171) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-03-07 |