| NPI | 1134249030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: AL L4915SP) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: NC 200700149) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: NC 200700149) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2019-05-24 |