NPI | 1235572819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA A161641) |
207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 287540) | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2020-11-03 |