| NPI | 1932102522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 17091) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX G8554) |
| 207ZD0900X Pathology, Dermatopathology (Licence: AL 17091) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-07-18 |