| NPI | 1073040598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD472695) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA11852000) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT213276) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-01-03 |