| NPI | 1932310547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA09081500) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 289261) |
| 207ZH0000X Pathology, Hematology (Licence: NJ 25MA09081500) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-04-26 |