| NPI | 1659825248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QL0900X Specialist/Technologist, Pathology Laboratory Management |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-12 |