| NPI | 1396728291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 2026-00030) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NC 2026-00030) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2026-03-27 |