| NPI | 1245235712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: PA MD044539L) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: DE C10005383) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DE c10005383) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2022-06-07 |