| NPI | 1639311079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0068128) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 254095) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD.206832) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2022-11-03 |