| NPI | 1093101701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: WI 66249) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: WI 66249) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2021-01-14 |