| NPI | 1508145830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 174400000X Specialist (Licence: NY PKODU1) |
| 207SC0300X Medical Genetics, Clinical Cytogenetic (Licence: NY PKODU1) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY PKODU1) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |