NPI | 1225588510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A145309) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 145309) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2018-08-07 |