| NPI | 1275300899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QL0900X Spec/Tech, Pathology, Laboratory Management |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |