| NPI | 1609295781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: CT 64362) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CT 64362) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-11-02 |