| NPI | 1134269467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: NJ 25MF00082600) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: NJ 25MA06536400) |
| 207ZH0000X Pathology Hematology (Licence: NY 205122) | |
| 207ZH0000X Pathology Hematology (Licence: FL ME113633) | |
| 207ZH0000X Pathology Hematology (Licence: MD D0075223) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NJ 25MF00082600) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA06536400) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 205122) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME113633) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MD D0075223) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: VT 042.0013940) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2018-02-22 |