| NPI | 1396949830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: TX N8319) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: TX N8319) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2011-04-08 |