| NPI | 1013196617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.097026) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: WI 57375-20) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2018-05-03 |