NPI | 1417342502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 301940) |
Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 301940) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 301940-01) | |
Enumeration Date | 2015-04-06 |
Last Update Date | 2021-08-08 |