| NPI | 1063591154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: WA MD00015146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00015146) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: WA MD00015146) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-12-18 |