| NPI | 1861809600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: OH 35143058) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: OH 35143058) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-08-12 |