| NPI | 1518111319 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MN 65107)  | 
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: UT 7469973-1205)  | 
| Enumeration Date | 2008-11-06 | 
| Last Update Date | 2020-10-06 |