| NPI | 1205129483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: FL ME127770) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: GA 76199) |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: AL 35217) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY R2584) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME127770) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2022-01-06 |