| NPI | 1265992192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WI 87418) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MA 292153) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-07-28 |