| NPI | 1295171908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A132309) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: CA A132309) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2018-06-15 |