| NPI | 1437202496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: MN 49918) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: ND 12450) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2018-06-20 |