| NPI | 1568812634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101268570) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX W0879) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-11-04 |