| NPI | 1427104462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: CA A88682) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: CA A88682) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-12-07 |