| NPI | 1134374002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: FL ME103153) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: OH 094989) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2024-03-27 |