| NPI | 1447261201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01092894A) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX 51606) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY 54071) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NM MD2020-0138) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WI 30299) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-04-02 |