| NPI | 1831304112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SM0001X Medical Genetics, Molecular Genetic Pathology (Licence: MA 223369) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 223369) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2025-09-11 |