| NPI | 1780028225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: AZ 76052) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: CO DR.0059190) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO TL.0006880) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 76052) | |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2025-08-18 |