| NPI | 1447519228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: WA MD60855729) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60855729) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-10-01 |