| NPI | 1528442092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 246QC1000X Spec/Tech, Pathology, Chemistry |
| 246QH0000X Spec/Tech, Pathology, Hematology | |
| 246QM0900X Spec/Tech, Pathology, Microbiology | |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |