| NPI | 1447128681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QC1000X Specialist/Technologist, Pathology Chemistry |
| Additional Taxonomies | 246QL0900X Specialist/Technologist, Pathology Laboratory Management |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |