| NPI | 1386033561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: OH 35.127960) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: PA MT201992) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: PA MD453351) | |
| 207ZC0006X Pathology, Clinical Pathology (Licence: OH 57.025832) | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2016-08-04 |