| NPI | 1184858276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 67870) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: IN 01067132A) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01067132A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000X) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2023-03-20 |