| NPI | 1497838361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 47503-20) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: KS 04-34625) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-12-20 |