| NPI | 1548213309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MD D24198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D24198) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D24198) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-12-03 |