| NPI | 1568717338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: OR MD221030) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: AZ 58880) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2024-08-15 |