| NPI | 1831395987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME132575) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: MN 55785) |
| 207ZM0300X Pathology, Medical Microbiology (Licence: MN 106209) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 57.014310) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2023-11-27 |