| NPI | 1558520064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TX P4534) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NY 265295) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-02-26 |