| NPI | 1083890651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01030601A) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: IN 01030601A) |
| 207ZD0900X Pathology, Dermatopathology (Licence: IN 01030601A) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2020-03-09 |