| NPI | 1215298187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI MD14908) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: RI MD14908) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 29344) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-01-17 |