| NPI | 1528271236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD441365) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT190214) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35 120652) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-01-03 |