| NPI | 1598726457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A62898) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NV 9780) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD150612) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 9780) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2022-03-28 |