| NPI | 1497289367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: SC MD87232) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: NC 2022-00930) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2022-06-03 |