| NPI | 1639439086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: KS 04-39695) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2017005705) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01076195A) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY C3839) | |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2025-09-09 |