| NPI | 1649275124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: DE C10003522) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: DE C10003522) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2011-03-07 |