| NPI | 1003161258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CT 062356) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 062356) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2019-08-13 |