| NPI | 1215050497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01064454A) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: IN 01064454A) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-08-15 |