| NPI | 1376702274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 264087-01) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 264087) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: WI 61225) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 264087) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2024-06-10 |