| NPI | 1871770271 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: OH 35.143677)  | 
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A102240)  | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A102240)  | |
| Enumeration Date | 2008-01-28 | 
| Last Update Date | 2021-12-02 |