| NPI | 1538657770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2021-0921) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 3312) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2021-0921) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-11-22 |