| NPI | 1396781407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 1036220) |
| Additional Taxonomies | 207ZF0201X Pathology Forensic Pathology (Licence: IN 1036220) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-01-09 |