| NPI | 1699389163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0205X Medical Genetics, Ph.D. Medical Genetics (Licence: NY AZADA1) |
| Additional Taxonomies | 207SC0300X Medical Genetics, Clinical Cytogenetic (Licence: NY AZADA1) |
| 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: NY AZADA1) | |
| 207SM0001X Medical Genetics, Molecular Genetic Pathology (Licence: NY AZADA1) | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NY AZADA1) | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2021-05-24 |