| NPI | 1952178204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QL0900X Specialist/Technologist, Pathology Laboratory Management |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |