NPI | 1104144070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
Enumeration Date | 2010-05-17 |
Last Update Date | 2010-07-16 |