| NPI | 1396999736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: WA MD60278867) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: WA MD60278867) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2012-08-06 |