NPI | 1760931992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NY 309464) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT209463) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 309464) | |
Enumeration Date | 2016-09-29 |
Last Update Date | 2024-10-25 |