| NPI | 1497870075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: MO 2040004) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: IL MLT19209) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |