| NPI | 1689651218 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: MO 2009008661)  | 
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 45998)  | 
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: KS 04-33676)  | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: FL ME97157)  | |
| Enumeration Date | 2005-12-23 | 
| Last Update Date | 2011-06-14 |