| NPI | 1598029902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology Forensic Pathology (Licence: CO TL.0005949) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301100927) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-06-05 |