| NPI | 1841514312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 2022-01829) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A129138) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35.128566) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2022-07-25 |