| NPI | 1841844149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A163225) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: CA A163225) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2021-04-16 |