| NPI | 1154564235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME115262) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: FL ME115262) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: FL ME115262) | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2026-09-09 |