| NPI | 1114990421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: MA 213578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 213578) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2017-08-21 |