| NPI | 1275144610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: OH 57.248878) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MN 75488) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2025-05-07 |