NPI | 1235758442 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL L.5579R) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL L.5579R) | |
Enumeration Date | 2020-04-09 |
Last Update Date | 2023-10-13 |