| NPI | 1043605645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME156708) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: FL ME156708) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A146817) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-10-25 |