NPI | 1487633988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: AZ 48185) |
Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 26119) |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 48185) | |
207RH0000X Internal Medicine, Hematology (Licence: MN 26119) | |
Enumeration Date | 2006-01-12 |
Last Update Date | 2021-03-19 |