| NPI | 1063622280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 26380) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: AL 26380) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-04-15 |