| NPI | 1942381173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 250353) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: NY 250353) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-02-05 |