NPI | 1427801380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4351054495) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.256534) |
Enumeration Date | 2024-04-10 |
Last Update Date | 2025-06-22 |