| NPI | 1609190446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: WA MD60296017) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60296017) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WA MD60296017) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2015-07-10 |