| NPI | 1285634113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: WV 10129) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: WV 10129) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: VA 0101022951) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-04-01 |