| NPI | 1669449526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA04232900) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NJ 25MA04232900) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NJ 25MA04232900) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2011-04-30 |