| NPI | 1053364802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: NY 230913) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: NY 230913) |
| 207ZD0900X Pathology Dermatopathology (Licence: NY 230913) | |
| 207ZF0201X Pathology Forensic Pathology (Licence: NY 230913) | |
| 207ZI0100X Pathology Immunopathology (Licence: NY 230913) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: NY 230913) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: NY 230913) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 230913) | |
| 207ZP0213X Pathology Pediatric Pathology (Licence: NY 230913) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |