| NPI | 1013146208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA G47304) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G47304) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2025-02-12 |