| NPI | 1336405349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD458984) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: NY 281727) |
| 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: PA MD458984) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 281727) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-05-15 |