| NPI | 1598185308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX 47724) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: IL 036148844) |
| 207ZN0500X Pathology, Neuropathology (Licence: TX 47724) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036148844) | |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2022-10-20 |