| NPI | 1073174140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: MI 4301513424) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: IL 036.158663) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2019022857) | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2025-03-03 |