| NPI | 1922427509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NV 19023) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NV 19023) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2019-12-20 |