| NPI | 1093245482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: MN 66413) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: MN 28803) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MN 66413) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2021-11-11 |