| NPI | 1538259486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G89370) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: WA MD00029902) |
| 207ZN0500X Pathology, Neuropathology (Licence: CA G89370) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA G89370) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00029902) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-03-13 |