| NPI | 1164487120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301104418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104418) |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MD046022L) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MI 4301104418) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2019-05-16 |