| NPI | 1649224395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G33070) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA G33070) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA G33070) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA G33070) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |