| NPI | 1649643891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: IL 036.148960) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301106704) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D89589) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2020-07-21 |