| NPI | 1154732584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: NY 297435) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 297435) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2019-08-21 |