| 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 |