| NPI | 1831125517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: NJ MA086543) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: PA MD424601) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD424601) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-04-22 |