| NPI | 1992798854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA R. BALAJ Partner 937-224-9326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2013-02-13 |