| NPI | 1780841551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.142261) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD438803) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N5938) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-11-23 |