| NPI | 1457398356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A79016) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A79016) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2010-12-15 |