| NPI | 1013975705 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME167616) | 
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: FL ME167616) | 
| Enumeration Date | 2006-05-02 | 
| Last Update Date | 2024-12-02 |