| NPI | 1295711984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35-07-8196-T) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: OH 35078196T) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-07-14 |