NPI | 1841464120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NH 16131) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 250580) | |
Enumeration Date | 2008-04-17 |
Last Update Date | 2013-09-09 |