| NPI | 1235421710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A119630) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA A119630) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2019-10-11 |