| NPI | 1487611604 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01052742A) | 
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: IN 01052742A) | 
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IN 01052742A) | |
| Enumeration Date | 2006-05-01 | 
| Last Update Date | 2024-09-13 |