| NPI | 1154509008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 257918) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NY 257918) |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2020-12-16 |