| NPI | 1336137116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: GA 75849) |
| Additional Taxonomies | 207SM0001X Medical Genetics Molecular Genetic Pathology (Licence: NY 258379-1) |
| 207SM0001X Medical Genetics Molecular Genetic Pathology (Licence: CA A62035) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: IA 35596) | |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: NY 258379) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-12-28 |