| NPI | 1790704351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 2006-00688) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: NC 2006-00688) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-08-20 |