| NPI | 1831532779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MT 70946) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MT MED-PHYS-LIC-70946) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2022-10-20 |