| NPI | 1114020567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01051881A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 036110127) |
| 207ZC0500X Pathology Cytopathology (Licence: IN 01051881A) | |
| 208D00000X General Practice (Licence: IN 01051881) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2022-05-06 |