| NPI | 1285695700 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WI 32781) | 
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: WI 32781) | 
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 32781) | |
| Enumeration Date | 2006-04-01 | 
| Last Update Date | 2011-12-07 |