| NPI | 1932881117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Q00000X Spec/Tech, Pathology |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |