| NPI | 1790561587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QB0000X Specialist/Technologist, Pathology Blood Banking |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |