| 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 |