NPI | 1538358551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NC 2018-00150) |
Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA A98012) |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NC 2018-00150) | |
Enumeration Date | 2007-10-16 |
Last Update Date | 2021-03-30 |