| NPI | 1285969717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: FL ME169324) |
| Additional Taxonomies | 207ZC0008X Pathology Clinical Informatics (Licence: FL ME169324) |
| 207ZN0500X Pathology Neuropathology (Licence: FL ME169324) | |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2024-10-09 |