| NPI | 1497218069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: NY 320767) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NY 320767) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-11-22 |