| NPI | 1831156538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: KY 49038) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IN 01055843A) |
| 207ZN0500X Pathology Neuropathology (Licence: IN 01055843A) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: KY 49038) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-04-24 |