| NPI | 1548896491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 135292) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: NY 135292) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2023-02-03 |