| NPI | 1245245752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME126752) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: OR MD25169) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-06-27 |