| NPI | 1376682393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: OH 35089552) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NM 2006-0224) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-01-04 |