| NPI | 1124340864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NJ 25MA10529500) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NJ 25MA10529500) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2020-07-09 |