| NPI | 1780718874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 255092) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PA MD054104L) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD054104L) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2014-12-17 |