| NPI | 1932414968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME116630) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 13993) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 116630) | |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2014-09-08 |