| NPI | 1750609053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 46852) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: KY 46852) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01084625A) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2021-04-05 |