| NPI | 1013171933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 265978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 265978-1) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2014-01-15 |