| NPI | 1184812133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TN MD46604) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A96885) |
| 207ZN0500X Pathology, Neuropathology (Licence: TN 46604) | |
| 207ZN0500X Pathology, Neuropathology (Licence: IN 01091767A) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IN 01091767A) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2025-07-23 |