| NPI | 1346878352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 246QL0901X Spec/Tech, Pathology, Laboratory Management, Diplomate |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |