| NPI | 1306429683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: FL 175600) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: FL 175600) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: VA 0116035738) | |
| 207ZN0500X Pathology, Neuropathology (Licence: VA 0116035738) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0116035738) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: FL 175600) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2025-08-07 |