| NPI | 1487640439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NY 217020) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NY 217020) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2014-12-29 |