| NPI | 1528494424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 272377) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NY 272377) |
| 207ZD0900X Pathology, Dermatopathology (Licence: NY 272377) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2015-04-07 |