NPI | 1609516384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: MS 25D2250721) |
Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MS 251280) |
Enumeration Date | 2022-03-30 |
Last Update Date | 2022-03-30 |