| NPI | 1194706150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01020791A) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: IN 01020791A) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2013-10-31 |