| NPI | 1861606303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: TX R2552) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A101023) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-10-09 |