| NPI | 1720212814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: GA 91802) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: MN 105698) |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: MN 54450) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000X) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2022-06-06 |