| NPI | 1528497070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA 20A14379) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: OH 34.011209) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2024-06-11 |