| NPI | 1871572800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AL MD.28841) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: SC 27915) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 27915) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD.28841) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2021-06-09 |