| NPI | 1053503847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SM0001X Medical Genetics, Molecular Genetic Pathology (Licence: FL ME116524) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2007012839) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2018-01-18 |