| NPI | 1508841073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: SC MD 29478) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME73357) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2009-09-25 |