| NPI | 1609929991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: TN 16660) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TN 16660) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |