| NPI | 1508240342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX V1632) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: TX V1632) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 263811) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 277735) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2024-06-11 |