| NPI | 1841302908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: NY 228809-1) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: NY 228809-1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-01-11 |