| NPI | 1790872737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: WA MD61244982) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: PA MD068901L) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-11-08 |