| NPI | 1598068561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD446376) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: PA MD446376) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194716) | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2020-12-03 |