| NPI | 1942271143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA C51186) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: CA C51186) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-07-05 |