| NPI | 1649912452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WA DO.OP.70077130) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2026-06-18 |