| NPI | 1023016557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: TN 33969) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01095024A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI EMC0006597) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2025-09-10 |