| NPI | 1487848644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 02006527A) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IA DO05260) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AK MEDO7423) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2007018750) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2021-08-25 |