| NPI | 1598083537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: OH 35.097642) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: OH 35-097642) |
| 207ZP0104X Pathology, Chemical Pathology (Licence: OH 35-097642) | |
| 207ZH0000X Pathology, Hematology (Licence: OH 35-097642) | |
| 207ZI0100X Pathology, Immunopathology (Licence: OH 35-097642) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: OH 35-097642) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: OH 35-097642) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: OH 35-097642) | |
| 207ZM0300X Pathology, Medical Microbiology (Licence: OH 35-097642) | |
| Enumeration Date | 2010-05-15 |
| Last Update Date | 2013-03-05 |