| NPI | 1548203342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: PA MD96962E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD016962E) |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MD016962E) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-09-27 |