| NPI | 1710063516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WA MD00024251) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: WA MD00024251) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-06-24 |