| NPI | 1912402801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT 148620) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: IN 01093181A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01093181A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2025-06-24 |