| NPI | 1245295625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: OH 028869) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 028869) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2016-08-25 |