| NPI | 1467171462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Additional Taxonomies | 246QL0900X Specialist/Technologist, Pathology Laboratory Management |
| 363A00000X Physician Assistant (Licence: MO 2022026934) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |