NPI | 1689094617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MA 283673) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-04-17 |
Last Update Date | 2020-07-21 |