| NPI | 1992815377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01026522) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: IN NA) |
| 208D00000X General Practice (Licence: IN 01026522) | |
| 208D00000X General Practice (Licence: IL 036099561) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-06-26 |