| NPI | 1861927832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: AR E-14088) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: AR E-14088) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MD 390200000) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2021-09-01 |