| NPI | 1912944752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01077724A) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: WI 45394) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-01-23 |