| NPI | 1467616540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 253636) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NJ 25MA11459600) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2023-11-07 |