| NPI | 1306164157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA C176113) |
| Additional Taxonomies | 207SM0001X Medical Genetics, Molecular Genetic Pathology (Licence: CA C176113) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 277612) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2022-08-31 |