| NPI | 1265688220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA09814000) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NY 245132) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 245132) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2024-12-16 |