| NPI | 1922118900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: NJ 25MA12983000) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IN 01061109A) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2026-02-09 |