| 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 |