| NPI | 1710414339 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01089875A) | 
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: IN 01089875A) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-13 | 
| Last Update Date | 2023-08-09 |