| NPI | 1134411333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX Q7658) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: TX Q7658) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2014-0816) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2019-11-05 |