| NPI | 1780909523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NM MD2018-0520) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NM RS2014-0294) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D79442) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2023-07-10 |