NPI | 1861255002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
Additional Taxonomies | 246RM2200X Technician, Pathology Medical Laboratory |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-01-31 |