NPI | 1659414712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246QM0706X Specialist/Technologist, Pathology Medical Technologist (Licence: 160722) |
Additional Taxonomies | 246RM2200X Technician, Pathology Medical Laboratory (Licence: 059595) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-07-08 |