| NPI | 1790035715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TX Q3945) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NY 294541) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2021-07-14 |