| NPI | 1770592941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: MA 56280) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 56280) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 56280) | |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2007-07-08 |