| NPI | 1528209046 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NJ 25MA08686900) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA08686900) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2024-05-02 |