| NPI | 1609968957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 34225) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 35633) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01046239) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036102655) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-10-15 |