| NPI | 1356331664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: MA 60150) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 60150) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2025-09-11 |