| NPI | 1487821195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35121136) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: UT 8275931-1205) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 8275931-1205) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2021-12-03 |