| NPI | 1538302849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ND 13159) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: ND 13159) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2021-04-21 |