| NPI | 1770679268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA A90474) |
| Additional Taxonomies | 207ZP0104X Pathology, Chemical Pathology (Licence: CA A90474) |
| 207ZP0104X Pathology, Chemical Pathology (Licence: WA MD00043014) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WA MD00043014) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-11-11 |