| NPI | 1275100356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX U1021) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZC0006X Pathology, Clinical Pathology (Licence: TX U1021) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-12-04 |