| NPI | 1073017679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |