| NPI | 1659399020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: NY 087844-1) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: VA 0101020157) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-09-28 |