| NPI | 1942361688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: GA 80728) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: IN 02004008A) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2019-10-21 |