| NPI | 1497953004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301106328) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: MI 4301106328) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: PA MT190237) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2019-10-22 |