| NPI | 1336672716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: PA MD474279) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2022-04-19 |