NPI | 1952571598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: PR 455) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2008-03-11 |
Last Update Date | 2013-04-15 |