| NPI | 1215012422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: MO 2025020823) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NY 218901-1) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-07-30 |