NPI | 1780333633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NY 334179) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-03-19 |
Last Update Date | 2025-09-18 |