| NPI | 1750027124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME178976) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: FL ME178976) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2026-08-03 |