| NPI | 1932141140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC AL36563) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: AL 21043) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-11-02 |