| NPI | 1609014026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.136076) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 5917) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD444874) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2021-12-08 |