| NPI | 1497372569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: IN 01099302A) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MD D0102131) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2026-08-14 |