| NPI | 1912705351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZB0500X Specialist/Technologist, Other Biochemist |
| Additional Taxonomies | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |