| NPI | 1972982650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MA 267360) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 267360) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2016-09-08 |