| NPI | 1700383494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35.151344) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: OH 35.151344) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-06-28 |