| NPI | 1215490859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: CA A195356) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A195356) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA A195356) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2026-08-10 |