| NPI | 1104936293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: PA MD487964) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: IN 01062454A) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01062454A) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CT 69603) | |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 01062454A) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-07-10 |