| NPI | 1467806356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: CA A151460) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: NC 2016-00560) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2018-03-17 |