| NPI | 1154068419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: TX 45D2182351) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: TX 45D2182351) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |