| NPI | 1699942813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: OH 009649) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: AR E-5572) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2009-07-29 |