| NPI | 1710270194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 50681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 50681) |
| 207ZH0000X Pathology, Hematology (Licence: TN 50681) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: TN 50681) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2022-03-14 |