| NPI | 1134668635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: IA MD-49554) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IA MD-49554) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2022-07-15 |