| NPI | 1740249192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: UT 318197-1205) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01082681A) |
| 207ZC0500X Pathology Cytopathology (Licence: UT 318197-1205) | |
| 207ZC0500X Pathology Cytopathology (Licence: IN 01082681A) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AR E15550) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-01-23 |