| NPI | 1295175388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-12605) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NE 29967) |
| 207ZC0500X Pathology, Cytopathology (Licence: AR E-12605) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2025-04-29 |