| NPI | 1972838399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A109653) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A109653) |
| Enumeration Date | 2009-10-04 |
| Last Update Date | 2016-11-28 |