| NPI | 1275579302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA C41432) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA C41432) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-08-18 |