| NPI | 1083809834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301090044) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301090044) |
| 207ZC0500X Pathology, Cytopathology (Licence: MI 4301090044) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2016-08-02 |