| NPI | 1629371554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT190196) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NM MD2012-0599) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NM MD2012-0599) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2023-07-11 |