| NPI | 1093708109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.149188) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NY 220279) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 220279) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2023-08-16 |