NPI | 1497175087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: DC 3827) |
Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: DE 1110) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2014-06-24 |