| NPI | 1356452239 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: AR E-15880) | 
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: WI 66127) | 
| 207ZN0500X Pathology, Neuropathology (Licence: WA MD00045724) | |
| 207ZN0500X Pathology, Neuropathology (Licence: UT 8781350-1205) | |
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2022-09-19 |