| NPI | 1952989246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 350272) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: TX V6100) |
| 207ZC0500X Pathology, Cytopathology (Licence: LA 350272) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX V6100) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-04-28 |