| NPI | 1912161449 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: MO 2013025686)  | 
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: KS 04-36667)  | 
| Enumeration Date | 2008-07-14 | 
| Last Update Date | 2013-07-24 |