| NPI | 1265636864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.133478) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: OH 35.133478) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-11-11 |