| NPI | 1912613910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY ACHAB1CLIN) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NY ACHAB1HEMA) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |