| NPI | 1952327181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: CA C53919) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: MO 114289) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA C53919) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-04-02 |