NPI | 1053536771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZM0300X Pathology, Medical Microbiology (Licence: NY CQP28649) |
Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NY LAP34974) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2007-07-08 |