| NPI | 1811082209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: MD D0101423) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 47441) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-09-10 |