| NPI | 1023435328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 322078-01) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA09897400) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX R5397) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 63660) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301095989) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-09-11 |