| NPI | 1265524730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: MA 284981) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 284981) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CO DR.0055623) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IL 036115598) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-06-21 |