| NPI | 1164690483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA11324200) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NJ 25MA11324200) |
| 207ZH0000X Pathology, Hematology (Licence: NY 270378) | |
| 207ZH0000X Pathology, Hematology (Licence: CA 120870) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NJ 25MA11324200) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 270378) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA 120870) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 270378) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 120870) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2023-12-04 |