| NPI | 1033761721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: MI 4301510716) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: IN 01090184A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2025-02-12 |