| NPI | 1225084080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: FL ME 73197) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: FL ME 73197) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |