| NPI | 1982059168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A157365) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A157365) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-04-30 |