| NPI | 1326038753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 57278) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: MA 57278) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2018-04-23 |