| NPI | 1396356572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: PA 4759) |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NY BARBM3ENDO) |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NY BARBM3TSMQ) | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NY BARBM3VIRO) | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NY BARBM3CLTO) | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NY BARBM3BLLE) | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NY BARBM3BPAG) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2021-10-19 |