| NPI | 1366646283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: CA A73185) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NV 15811) |
| 207ZD0900X Pathology, Dermatopathology (Licence: AZ 35355) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2015-09-15 |