| NPI | 1427278670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101242736) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 350886613) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2008-11-26 |