| NPI | 1639490287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MI 4301096830) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: MI 4301096830) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301096830) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2016-09-08 |