NPI | 1760514517 |
---|---|
Other Name | MANI BALA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA C139181) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 36046825) |
207ZD0900X Pathology, Dermatopathology (Licence: ND LT17656) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2023-09-27 |