| NPI | 1952455255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MA 251135) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD d0061348) |
| 207ZH0000X Pathology, Hematology (Licence: MD D61348) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-01-06 |