| NPI | 1457313645 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WI 18041)  | 
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WI 18041)  | 
| Enumeration Date | 2006-04-04 | 
| Last Update Date | 2009-06-10 |