| NPI | 1467988386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 86677) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2019-00638) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01085854A) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2026-01-19 |