| NPI | 1205294204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A163468) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A163468) |
| 207ZI0100X Pathology, Immunopathology (Licence: CA A163468) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2025-04-03 |