| NPI | 1427993963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA CA-CPL4466) |
| Enumeration Date | 2026-04-21 |
| Last Update Date | 2026-04-21 |