| NPI | 1922256882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301099605) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MI 4301099605) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD435732) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT186828) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2012-04-04 |