NPI | 1952318362 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: KY 40736) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD31751) |
207ZP0101X Pathology, Anatomic Pathology (Licence: IN 01085702A) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2021-07-27 |