| NPI | 1306005442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: CO DR.0063160) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 35.099368) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-11-07 |