| NPI | 1205368420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA Md480577) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PA MD480577) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-07-11 |