| NPI | 1285663286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NH 8304) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WA 60017128) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA 60017128) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2012-10-30 |