| NPI | 1972038222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: CA A171656) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A171656) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A171656) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019158A) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-04-02 |