| NPI | 1285840785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: PA MD431884) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: PA MD431884) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD431884) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |