| NPI | 1477971414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX S6555) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: WI 65339-20) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2020-11-04 |