| NPI | 1215950860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NY 246224-1) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35-08-6861) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-10-21 |