| NPI | 1437908530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: NY RUSHJ2) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY RUSHJ2) |
| 207SG0207X Medical Genetics, Medical Biochemical Genetics (Licence: NY RUSHJ2) | |
| 207ZM0300X Pathology, Medical Microbiology (Licence: NY RUSHJ2) | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |