| NPI | 1689167074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: GA 98402) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: MA 286786) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207ZC0008X Pathology Clinical Informatics (Licence: MA 286786) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2024-02-02 |