| NPI | 1518956937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 022526) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: CT 022526) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2008-08-04 |