| NPI | 1013975705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: FL ME167616) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: CA C50987) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME167616) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA C50987) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2024-04-18 |