| NPI | 1255864781 |
|---|---|
| Former Name | JON NICHOLAS RUBENSTEIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD472510) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116030814) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2022-09-26 |