| NPI | 1922529429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TN 66897) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: TN 66897) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2023-06-13 |