| NPI | 1811249212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician (Licence: IL 3792) |
| Additional Taxonomies | 1744R1102X Specialist Research Study |
| 174H00000X Health Educator | |
| 246QC1000X Specialist/Technologist, Pathology Chemistry (Licence: IL 3792) | |
| 246Y00000X Specialist/Technologist, Health Information | |
| 246ZB0301X Specialist/Technologist, Other Biomedical Engineering | |
| 246ZB0500X Specialist/Technologist, Other Biochemist | |
| 291U00000X Clinical Medical Laboratory (Licence: IL 3792) | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2017-04-11 |