| NPI | 1396827374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI 4301086133) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35.091830) |
| 207ZC0500X Pathology Cytopathology (Licence: MI 4301086133) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-10-29 |