| NPI | 1700863941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301102040) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01037347A) |
| 207ZH0000X Pathology, Hematology (Licence: MI 4301102040) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2013-01-16 |