| 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 |