| NPI | 1609967793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: OH 35077781) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: OH 35077781) |
| 207ZI0100X Pathology, Immunopathology (Licence: OH 35077781) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35077781) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-09-19 |