| NPI | 1669041737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |