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 |