| NPI | 1104928712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: CA 207254) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: WA MD00048817) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2026-03-18 |