| NPI | 1225050669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: VA 0101239526) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: TX N8042) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N8042) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2012-05-08 |