| NPI | 1740544154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: VT 042.0013522) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301100612) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-09-02 |