| NPI | 1669672994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NJ 25MA08519600) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MT182775) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2024-07-31 |