| NPI | 1528025301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI MD18208) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01044973A) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: IN 01044973A) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IN 01044973A) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2022-08-08 |