| NPI | 1326098500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL ME133010) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: FL MFC1592) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: FL ME133010) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-11-24 |