| NPI | 1225060205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0076466) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: DC MD039072) |
| 207ZN0500X Pathology, Neuropathology (Licence: DC MD039072) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-12-02 |