| NPI | 1285609578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 35.137447) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD060779L) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2019-12-10 |