| NPI | 1598159535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME149766) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: WI 7079520) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 7079520) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2021-07-16 |