| NPI | 1891347738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA A186520) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0006862) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A186520) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-10-14 |