| NPI | 1851738751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TN 0000059243) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TN 0000059243) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2019-07-24 |