| NPI | 1912108598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TN MD0000049572) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 140940) |
| 207ZC0500X Pathology Cytopathology (Licence: TN MD0000049572) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-06-05 |