| NPI | 1235549601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MD D93757) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 291355) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 291355) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2025-02-11 |