| NPI | 1669978755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: NY 314337) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 314337) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2022-05-03 |