| NPI | 1457418444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: NJ 25MA08480700) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NJ 25MA08480700) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-12-27 |