| NPI | 1518917178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ MA44143) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NJ 25MA04414300) |
| 207ZH0000X Pathology, Hematology (Licence: NJ 25MA04414300) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2010-07-01 |