| NPI | 1982686929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CT 029372) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CT 029372) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2011-04-06 |