| NPI | 1396356788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 202K00000X Phlebology (Licence: FL 00000) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-10-26 |