| NPI | 1669671814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SM0001X Medical Genetics Molecular Genetic Pathology (Licence: IA 39481) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IA R8128) |
| 207SC0300X Medical Genetics Clinical Cytogenetics (Licence: IA 39481) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2011-06-22 |