| NPI | 1043312317 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: MO 112689)  | 
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: KS 422930)  | 
| 207ZF0201X Pathology, Forensic Pathology (Licence: MO 112689)  | |
| 207ZN0500X Pathology, Neuropathology (Licence: KS 422930)  | |
| Enumeration Date | 2006-09-05 | 
| Last Update Date | 2025-09-11 |