| NPI | 1942218599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA08598800) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: PA MD-028299-E) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD-028299-E) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-04-25 |