| NPI | 1245680354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01087603A) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 66707) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019005A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.251414) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-07-25 |