| NPI | 1386867232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: AR E-12221) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: GA 080649) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TN MD45415) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-06-02 |