NPI | 1356331664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
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 | 2007-07-08 |