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Individual
DR. DI AI
Active
Individual
DR. DI AI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
89224
GA
207ZP0101X
Anatomic Pathology Physician
MD465935
PA
207ZP0101X
Anatomic Pathology Physician
Primary
U2424
TX
Other
Enumeration date
05/16/2011
Last updated
03/24/2025
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