| NPI | 1053411694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: TN 55418) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: AR E-4800) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 35.090576) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2017-07-11 |