| NPI | 1922661388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01089883A) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: IN 01089883A) |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2025-05-16 |