| NPI | 1720328776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35133507) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PR 29220R) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 288851) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PR 18789) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 160651) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2023-02-27 |