| NPI | 1487685384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: TX N2801) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX N2801) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-12-15 |