| NPI | 1902996861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00011109) |
| Additional Taxonomies | 207SC0300X Medical Genetics, Clinical Cytogenetic (Licence: WA MD00011109) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-03-26 |