| NPI | 1073730248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35.098560) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 43060) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301081682) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301081662) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D67176) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 252621) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-02-10 |