| NPI | 1871728790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: HI MD-18211) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: HI MDR-5689) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2021-06-02 |