| NPI | 1164531828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: NY 123338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 12338) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-10-24 |