| NPI | 1306854955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD046263L) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: PA MD046263L) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-08-26 |