| NPI | 1467615070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A85194) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A85194) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2017-07-31 |