| NPI | 1285893834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: NJ 25MA08613700) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY P63985) |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2025-11-05 |