| NPI | 1184768855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX U6746) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: TX U6746) |
| 207ZN0500X Pathology, Neuropathology (Licence: CA A55579) | |
| 207ZN0500X Pathology, Neuropathology (Licence: KY 50734) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A55579) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-02-14 |