| NPI | 1295079242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QL0900X Specialist/Technologist, Pathology Laboratory Management |
| Additional Taxonomies | 246QM0706X Specialist/Technologist, Pathology Medical Technologist (Licence: OR 1825) |
| 246ZB0500X Specialist/Technologist, Other Biochemist | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2021-01-14 |