| NPI | 1861712994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301106710) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MI 4301106710) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 11015660A) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2020-09-09 |