| NPI | 1730582305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MI 4301512854) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 260496) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 275311) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2024-10-23 |