| NPI | 1134288517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: DC MD034576) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: DC MD034576) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-08-10 |