| NPI | 1881717320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301078987) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MI 4301078987) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301078987) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2021-01-15 |