NPI | 1114243391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35131468) |
Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: OH 35131468) |
Enumeration Date | 2010-04-14 |
Last Update Date | 2022-07-21 |