| NPI | 1285788513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 100040) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 100040) |
| 207ZH0000X Pathology, Hematology (Licence: NY 100040) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |