| NPI | 1942280904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: GA 058748) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME86213) |
| 207ZD0900X Pathology, Dermatopathology (Licence: FL ME86213) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2009-02-04 |