| NPI | 1104346915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0102207968) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: VA 0102207968) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 271904) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 271904) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-08-08 |