| NPI | 1073018701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: GA 104904) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: GA 104904) |
| 207SM0001X Medical Genetics, Molecular Genetic Pathology (Licence: GA 104904) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-07-23 |