| NPI | 1184852683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: TX P3595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P3595) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-09-08 |