NPI | 1518552603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246Q00000X Specialist/Technologist, Pathology |
Additional Taxonomies | 246RH0600X Technician, Pathology Histology |
Enumeration Date | 2021-03-01 |
Last Update Date | 2021-03-01 |