| NPI | 1235572819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA A161641) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 287540) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: FL ME163274) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX T5658) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2025-12-12 |