| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
|
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
| Additional Taxonomies | 246QB0000X Spec/Tech, Pathology, Blood Banking |
| 246QC1000X Spec/Tech, Pathology, Chemistry |
| 246QH0000X Spec/Tech, Pathology, Hematology |
| 246QI0000X Spec/Tech, Pathology, Immunology |
| 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| 246QM0900X Spec/Tech, Pathology, Microbiology |
| 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |