| NPI | 1942344312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME103941) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MD D006806) |
| 207ZC0500X Pathology, Cytopathology (Licence: FL ME103941) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D0066806) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2010-09-23 |