| NPI | 1568449692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX Q8791) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: TX Q8791) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01054431A) | |
| 207ZN0500X Pathology, Neuropathology (Licence: IN 01054431A) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2020-10-15 |