| NPI | 1265938856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WI 72654-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZH0000X Pathology, Hematology (Licence: WI 72654-20) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-11-16 |