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 |