NPI | 1053602201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: NY 260996) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 260996) |
Enumeration Date | 2011-04-22 |
Last Update Date | 2022-03-28 |