| NPI | 1346545142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 321389) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CA A135924) |
| 207ZC0500X Pathology Cytopathology (Licence: NM MD2019-0725) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A135924) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NM MD2019-0725) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2023-08-15 |