| NPI | 1447463518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: NC 2006-01407) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: CA A103772) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-03-11 |