| NPI | 1194159202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 273824) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: MA 273824) |
| 207ZN0500X Pathology, Neuropathology (Licence: MA 273824) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2026-02-20 |