| NPI | 1699202796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: SC 92766) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-07-01 |