| NPI | 1871557405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 278164) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 56331) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-3981) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-08-22 |