NPI | 1720421902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2019-0535) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NM MD2019-0535) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-08 |
Last Update Date | 2024-10-23 |