| NPI | 1568755379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: VA 0101257709) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: TN 52653) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2022-07-21 |