| 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 |