| NPI | 1588015143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TN 63826) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018989A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 63826) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-10-15 |