| NPI | 1679772966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZM0300X Pathology, Medical Microbiology (Licence: TX P3846) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 104999) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 53256) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2012-07-24 |