| NPI | 1720178312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: NY 198256) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: UT 5708742-1205) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 198256) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-03-09 |