| NPI | 1679925697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01088109A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2016015268) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: PA MT222205) | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2022-07-13 |