NPI | 1184618779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35065684) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: OH 35065684) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2010-11-01 |