| NPI | 1932262433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD H0092858) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 229989) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207ZD0900X Pathology, Dermatopathology (Licence: TX N7325) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-12-29 |