| NPI | 1780833145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI 4301093009) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: MI 4301093009) |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: MI 4301093009) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301093009) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2019-10-21 |