| NPI | 1073045407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: AR E-15530) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E15530) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-09-01 |