| NPI | 1174135586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: GA 100251) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: GA 100251) | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2026-05-29 |