| NPI | 1174525000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35055158) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: OH 35055158) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2023-05-01 |