| NPI | 1134201825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: OH 35047991) |
| Additional Taxonomies | 207ZI0100X Pathology Immunopathology (Licence: OH 34047991) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: OH 35047991) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-06-05 |