| 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 |