NPI | 1700078656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX R0861) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 54422) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 20076) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-08-14 |
Last Update Date | 2019-08-09 |