| NPI | 1215917786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 50348) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: TN 50348) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX L6423) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 50348) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2023-05-22 |