| NPI | 1275684102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: NY 139646) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: NY 139646) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2009-10-02 |