| NPI | 1639158389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AL 24371) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 24371) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2018-01-05 |