| NPI | 1326542804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WA MD61432717) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: WA MD61432717) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-09-29 |