| NPI | 1396918314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: UT 10537081-1205) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: UT 10537081-1205) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2022-10-04 |