| NPI | 1265668776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: NY 257416) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 229422) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 257416) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2014-10-02 |