| NPI | 1992917272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX M5635) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IN 01060395A) |
| 207ZP0104X Pathology Chemical Pathology (Licence: TX M5635) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-10-28 |