NPI | 1508244286 |
---|---|
Former Name | THOMAS JOHN DURANT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CT 60795) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-13 |
Last Update Date | 2019-07-01 |