| NPI | 1568756542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: MD D86633) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MD D86633) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2019-02-26 |