| NPI | 1831359348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35.149167) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA L-236764) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A112244) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-10-03 |