| NPI | 1982780367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: HI MD13316) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: HI MD13316) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2007-07-08 |