| NPI | 1144857087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.174029) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA MD-54538) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 1017409) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NH 38034) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-09-11 |