| NPI | 1295726495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MA 56321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 56321) |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: MA 56321) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2013-10-21 |