| NPI | 1912987504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 55625) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 02007660A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY C3863) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-08-28 |