NPI | 1992279806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 336298) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD467753) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD467753) | |
Enumeration Date | 2019-01-14 |
Last Update Date | 2025-06-15 |