| NPI | 1659889756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: NJ 93066) |
| Additional Taxonomies | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: NJ 25MS00011800) |
| 207SG0205X Medical Genetics, Ph.D. Medical Genetics (Licence: NJ 93066) | |
| 207SG0205X Medical Genetics, Ph.D. Medical Genetics (Licence: NJ 25MS00011800) | |
| 207SM0001X Medical Genetics, Molecular Genetic Pathology (Licence: NJ 93066) | |
| 207SM0001X Medical Genetics, Molecular Genetic Pathology (Licence: NJ 25MS00011800) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |