| NPI | 1104001668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: ZZ 66418) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 66418) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2022-06-23 |