| NPI | 1750377305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01060420A) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: IN 01060420A) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2003014719) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-08-26 |