| NPI | 1649279662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 184617) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NY 184617) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2015-06-10 |