| NPI | 1578594677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 248683) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NY 248683) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 23795) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ND 4239) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-12-20 |