| NPI | 1689801920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: AZ 62714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-5731) |
| Enumeration Date | 2009-06-13 |
| Last Update Date | 2022-08-22 |