| NPI | 1376834432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: CA A135199) |
| Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology (Licence: VA 0101256373) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2022-06-15 |