| NPI | 1366022915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0104X Pathology, Chemical Pathology (Licence: NY 327229) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 327229) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-08-07 |