| NPI | 1881651008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: PA MD482012) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 186385) |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 186385-1) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: NY 186385) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-08-17 |