| NPI | 1235266826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 27087) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: SC 27087) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-09-17 |