| NPI | 1427099449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00032015) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WA MD00032015) |
| 207ZC0500X Pathology, Cytopathology (Licence: WA MD00032015) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-01-22 |