| NPI | 1265843486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01079777A) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IN 01079777A) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2020-01-16 |