NPI | 1588723118 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2017-02451) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 9388) |
207ZP0101X Pathology, Anatomic Pathology (Licence: MN 104839) | |
207ZP0101X Pathology, Anatomic Pathology (Licence: MN 53388) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 29932) | |
Enumeration Date | 2006-12-08 |
Last Update Date | 2017-12-11 |