| NPI | 1033648456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: MO 2023022094) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.142636) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207ZC0500X Pathology, Cytopathology (Licence: OH 35.142636) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-06-14 |