| NPI | 1053638858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: NJ 25MA09858900) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PA MD450560) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2024-11-01 |