| NPI | 1336263896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD60178931) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IN 01065186A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01065186A) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-05-09 |