| NPI | 1841503927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QM0706X Specialist/Technologist, Pathology Medical Technologist (Licence: FL TN39280) |
| Additional Taxonomies | 246QB0000X Specialist/Technologist, Pathology Blood Banking (Licence: FL TN39280) |
| 246QC1000X Specialist/Technologist, Pathology Chemistry (Licence: TN39280) | |
| 246QH0000X Specialist/Technologist, Pathology Hematology (Licence: FL TN39280) | |
| 246QI0000X Specialist/Technologist, Pathology Immunology (Licence: FL TN39280) | |
| 246QM0900X Specialist/Technologist, Pathology Microbiology (Licence: FL TN 39280) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |