| NPI | 1851534457 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA A131802)  | 
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: CA A131802)  | 
| Enumeration Date | 2009-04-13 | 
| Last Update Date | 2017-06-28 |