| NPI | 1396747861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 176318) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 176318) |
| 207ZC0500X Pathology, Cytopathology (Licence: NY 176318) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2011-01-27 |