NPI | 1699330613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: PA MT234692) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 34986) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-06 |
Last Update Date | 2025-08-06 |