| NPI | 1497713895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX E6904) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: TX E6904) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-12-14 |