NPI | 1255663670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: 204742) |
Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: 206256) |
Enumeration Date | 2010-02-10 |
Last Update Date | 2010-02-10 |