| NPI | 1750523866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: OH 34.009478) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PA OS015697) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2011-07-21 |