| NPI | 1760700777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MN 56099) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 56099) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2014-08-01 |