| NPI | 1104113331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: FL ME153125) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: FL ME153125) |
| 207ZC0500X Pathology, Cytopathology (Licence: FL ME153125) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME153125) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-04-24 |