| NPI | 1902885783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME48205) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NC 25343) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME0048205) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 25343) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2015-05-08 |