| NPI | 1174511935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: IA 23889) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: IA 23889) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: IA 23889) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-12-13 |