| NPI | 1659714087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301094718) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: TN 54455) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: IN 01072279A) | |
| 207ZN0500X Pathology, Neuropathology (Licence: TN 54455) | |
| 207ZN0500X Pathology, Neuropathology (Licence: CA 131339) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301094718) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2024-04-04 |