| NPI | 1457939571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 207ZP0102X) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: AL MD.47684) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-05-19 |