| NPI | 1790550127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |