| NPI | 1710421607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 246QH0000X Spec/Tech, Pathology, Hematology |
| 246QH0600X Spec/Tech, Pathology, Histology | |
| 246QI0000X Spec/Tech, Pathology, Immunology | |
| 246QL0900X Spec/Tech, Pathology, Laboratory Management | |
| 246QM0706X Spec/Tech, Pathology, Medical Technologist | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |