| NPI | 1629055926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01035174A) |
| Additional Taxonomies | 207ZP0104X Pathology, Chemical Pathology (Licence: IN 01035174A) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-05-01 |