| NPI | 1063635274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301083495) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MI 4301083495) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301083495) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-10-10 |