Elpidio Dejesus Pena, MD Valid NPI

Individual provider · Anatomic Pathology & Clinical Pathology Physician · Louisville, KY

NPI

1700841152

Type

Individual (Type 1)

Primary specialty

Anatomic Pathology & Clinical Pathology Physician (Pathology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207ZP0102X

License number

36832 (KY)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-19

Last updated

2014-06-26