| NPI | 1568640886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILA KHORSAND Md 401-921-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| 207ZC0500X Pathology, Cytopathology | |
| 207ZH0000X Pathology, Hematology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 207N00000X Dermatology | |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2021-04-13 |