| NPI | 1932369295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CT 049563) |
| 207ZM0300X Pathology, Medical Microbiology (Licence: CT 049563) | |
| 207ZC0006X Pathology, Clinical Pathology (Licence: CT 049563) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2011-06-23 |