| NPI | 1700042330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX P8900) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: IN 01067744A) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IN 01067744A) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-04-02 |