| NPI | 1841587771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: UT 9183783-1205) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: TX R2545) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2023-01-23 |