NPI | 1932138815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: IL 036157610) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: WV 28274) |
207ZP0101X Pathology, Anatomic Pathology (Licence: MD D0047847) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2021-09-27 |