| NPI | 1245818004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: WA MD.MD.61522972) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WA MD.MD.61522972) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-08-05 |