| NPI | 1437489341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA CPT34892) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA 155795) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |