NPI | 1447250501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA05982200) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NJ 25MA05982200) |
207ZI0100X Pathology, Immunopathology (Licence: NJ 25MA05982200) | |
Enumeration Date | 2005-07-29 |
Last Update Date | 2007-10-23 |