NPI | 1043411168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: UT 5558245-1205) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MN 50181) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 5558245-1205) | |
207ZP0104X Pathology, Chemical Pathology (Licence: UT 5558245-1205) | |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 103224) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2023-05-26 |