| NPI | 1972608313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA08026900) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 239503) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 239503) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-10-10 |