| NPI | 1639120777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 35.089678) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: MA 213126) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2015-01-21 |