| NPI | 1356845010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: VA 0101281286) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 125.072397) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0101281286) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-07-01 |