| NPI | 1043250285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NY 203194) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 203194) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-05-15 |