| NPI | 1952628034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101253826) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: VA 0101253826) |
| 207ZN0500X Pathology, Neuropathology (Licence: RI MD16138) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2023-02-28 |