| NPI | 1992370019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZB0500X Specialist/Technologist, Other Biochemist |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 246QH0401X Specialist/Technologist, Pathology Hemapheresis Practitioner | |
| 246QM0706X Specialist/Technologist, Pathology Medical Technologist | |
| 246QM0900X Specialist/Technologist, Pathology Microbiology | |
| 171M00000X Case Manager/Care Coordinator | |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: CO 20122376) | |
| 174H00000X Health Educator | |
| 207ZI0100X Pathology Immunopathology (Licence: CO 20122376) | |
| 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: CO 20122376) | |
| 207ZM0300X Pathology Medical Microbiology (Licence: CO 20122376) | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CO 20122376) | |
| 246QB0000X Specialist/Technologist, Pathology Blood Banking | |
| 405300000X Prevention Professional (Licence: CO 105785) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: 105785) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |