NPI | 1003524992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
Additional Taxonomies | 156F00000X Technician/Technologist (Licence: OH NA) |
Enumeration Date | 2022-11-09 |
Last Update Date | 2022-11-15 |