| NPI | 1114508637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZG1000X Specialist/Technologist, Other, Geneticist, Medical (PhD) |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-21 |