| NPI | 1427678895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MA 1023238) |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2025-12-02 |