| NPI | 1720269251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: IN 01087016A) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: IN 01087016A) |
| 207ZN0500X Pathology Neuropathology (Licence: MN 62810) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2022-09-26 |