| NPI | 1497708937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO R7089) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: MO R7089) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-16 |