| NPI | 1649585209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 59661) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01073474A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.138236) | |
| Enumeration Date | 2010-08-07 |
| Last Update Date | 2024-12-11 |