NPI | 1386710580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ MA07730600) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NJ MA07730600) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2024-04-09 |