| NPI | 1770804312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036.140441) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: IL 036.140441) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301096195) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301096195) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01093250A) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2024-04-18 |