| NPI | 1366022915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: NY 327229) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 327229) |
| 207ZP0104X Pathology, Chemical Pathology (Licence: NY 327229) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 327229) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-10-24 |