| NPI | 1194018259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: RI LP02281) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MD D88974) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2020-03-20 |