| NPI | 1295594943 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: TX 2019139) | 
| Additional Taxonomies | 207SC0300X Medical Genetics, Clinical Cytogenetic (Licence: TX 2017319) | 
| Enumeration Date | 2024-03-15 | 
| Last Update Date | 2024-03-15 |