| NPI | 1831356757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: CA A93697) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: TX S3581) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-10-21 |