| NPI | 1902425721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0071250) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA ML61524988) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008233) | |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2024-04-03 |