| NPI | 1336672716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME153559) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A186364) |
| 207ZD0900X Pathology, Dermatopathology (Licence: ID 6061870) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: LA 349189) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-12-09 |